<div class="g-bd clearfix">
    	<div class="g-mn clearfix">
    		<b class="spbg2 corner tl"></b>
    		<b class="spbg2 corner tr"></b>
    		<b class="spbg2 corner bl"></b>
    		<b class="spbg2 corner br"></b>
    		<div class="titlebar clearfix">CREATE YOUR <?php echo SITE_NAME;?> ACCOUNT WITH YOUR FB ACCOUNT</div>
    		<form name="registForm" id="registForm" method="post" action="<?php echo ROOT_PATH;?>/facematch<?=CHOSING_DE ?>login">
    		<ul class="content clearfix">
    			<li>
    				<span class="desc"><font>*</font> Your Name: (first and last)</span>
    				<span class="inputbox">
    					<input type="text" name="nick_name" value="<?php echo $this->username;?>" /><span></span>
    					<br />This name appears when we welcome you to our site
    				</span>
    			</li>
    			<li>
    				<span class="desc"><font></font> Coupon Code:</span>
    				<span class="inputbox">
    					<input type="text" name="couponcode" value="" />
    				</span>
    			</li>
    			<li>
    				<span class="desc"> Join a Club (optional):</span>
    				<span class="inputbox">
    					<select name="clubid">
							<option value="0">Please Select</option>
							<?php foreach ($this->clubList as $v):?>
								<option value="<?php echo $v['flid'];?>"><?php echo $v['en_flname'];?></option>
							<?php endforeach;?>
							<input type="hidden" name="preurl" value="<?php echo $this->preurl;?>" />
						</select>    					
    				</span>
    			</li>
    		</ul>
    		<div class="register_sub clearfix"><input type="submit" name="submit" value="Register" class="spbg2 register_btn" />&nbsp;&nbsp;&nbsp;&nbsp;<a href="/facematch-bind">Back To Login</a></div>
    		</form>
    	</div>
    </div>
   <script type="text/javascript" src="<?php echo MY_URL;?>/html/scripts/registerapi.js"></script>